I scored 12 out of 15 on the quiz above. My main concerns are brain fog/poor memory, lack of interest in sex, 20-lb weight gain, craving salty foods & sweets, pain in the upper back and around my chest area, AND tired all the time! I have bags under my eyes that I can’t get rid of them. I also read where adrenal fatigue is associated with melasma…due to hormonal inbalance. I seen adrenal fatigue supplements that I could buy through Amazon. What do you recommend my next step be?
Patients can conduct a saliva cortisol test or a urine cortisol test to assess adrenal hormones. This involves collecting four non-invasive samples over the course of one day, from which ZRT is able to generate results with a diurnal cortisol curve. This four-point graph reveals cortisol levels throughout the day and allows health care providers to pinpoint issues with adrenal gland function.
Dr. Wilson also delves into the types of people and personalities who are commonly afflicted with this syndrome. He explains how different professions can leave certain people vulnerable to the type of stress that can overload their adrenals and result in this syndrome. Included also are examinations of how certain diseases have an adrenal component that can lead to adrenal exhaustion.

As an NTP Practitioner for over 5 years this is taught to us as Certified Practitioners. Firstly it must be done by another person preferably a Professional who knows what to look for and is experienced. Do not shine directly in your eyes and the photo is misleading, it implies you can do it yourself, not recommended Secondly, this quite honestly not the way to fully assess your adrenal function. It gives a starting point but the best way is to have an ASI adrenal panel done called a Salvary panel. This is basic information and yes the book is a bit out dated with much more new reliable information out! Nora Gegedous has a new Adrenal e book out and I fully believe working with Practitioners who deal with this topic. The other Newly graduated NTP had very valuable information above consening the actual procedure. This is very individual and complicated. I have taken many advanced seminars on this subject and work with many clients very specifically.
Carbohydrates: While carbohydrates aren’t all bad for you, the inflammation they can cause is particularly problematic when experiencing adrenal fatigue. Many people crave carb-heavy foods when they’re stressed, which offer a momentary satisfaction but end up taxing the adrenal glands more. If you’re overwhelmed and stressed out, try kicking the gluten and starchy carbs for a period of time to see if that may regulate your tiredness and energy levels.
In general, if you feel happy and well, have steady energy and emotions, sleep soundly seven to nine hours a night, wake up feeling rested, recover well from stress, and maintain a healthy weight without dieting, then your adrenals are probably doing well. On the other hand, if your energy lags during the day, you feel emotionally unbalanced much of the time, you sleep poorly or less than seven hours a night, can’t lose excess weight even while dieting, use caffeine or carbohydrates as “pick-me-ups” — these are all red flags indicating adrenal insufficiency (stress).

A 2 was all I have in cortisol which is way below minimum range of 8. Probably fried adrenal and Addison. I will be taking prednisone and dhea for the rest of my life. Probably all my gastro issues and cvid disorder are all connected. I can tell you that my spiritual background and training in alternative healing are worthless to fight this condition


The diagnosis of Cushing syndrome (CS) requires evidence of cortisol hypersecretion. While serum cortisol levels fluctuate unpredictably and are strongly dependent on concurrent cortisol-binding globulin (CBG) levels, a 24-hour urine specimen integrates the cortisol production for an entire day and is not affected by CBG. Urinary cortisol reflects the portion of serum-free cortisol filtered by the kidney, and correlates well with cortisol secretion rate.
From his introduction: "Part I gives you an overview of adrenal fatigue: what it is; who suffers from it, what causes it, how it progresses and why medicine has not recognized it as a syndrome.....Part II guides you through a questionnaire and some other simple processes to determine if you have adrenal fatigue, and if you do, what may be causing it......Part III provides a very comprehensive guide to recovering from adrenal fatigue. It contains specific info about which therapies work and exactly what you can do to help yourself feel energized and well again.......Part IV explains in relatively plain English what your adrenal glands do and how and why they are so important to just about every process that occurs in your body and mind. It will help you understand why you feel so bad when they are not functioning adequately." Sometimes, you don't even realize you feel bad because feeling bad becomes normal and you don't realize how bad you felt until you start to feel better. I am to that point now, I feel better.
Lifeworks Wellness Center is long recognized as one of the foremost natural health clinics in the US. At our Tampa Bay, Florida alternative medicine office we have been offering adrenal fatigue treatment and treatment for chronic fatigue syndrome for a long time and many of our patients have regained quality of life. Very few clinics offer natural adrenal fatigue treatment and so our patients fly in from all over the world because they simply can’t find clinics offering this treatment where they live. 
Easy for the non-scientist to understand. Lots of obvious information, like sleep more and eat better. I used this book more for the supplements chapter. I increased my bit C and B6. I stopped taking DHEA because of this book (not recommended for women) and started taking pregnelone instead. Some stuff I didn't know is that salt is good for you and bananas are bad for you if you have adrenal fatigue.

I found Dr. Lam's book overall more comprehensive in addressing all aspects of a person's life in recovering from adrenal fatigue syndrome. I have only been using Dr. Wilson's adrenal protocol for 36 days. Dr. Wilson's web site says it could take up to three months to see a difference, or even two years, depending on the state of the person's health. I am very encouraged in how much better I feel after 36 days.
In addition, a dysfunctional hypothalamic-pituitary-adrenal (HPA) axis and disruptions to your body’s cortisol production can significantly hinder healthy sleep patterns. In the lead-up to adrenal fatigue, elevated cortisol levels will prevent you from falling asleep at night. This hyperactivity can fragment sleep patterns and decreases slow-wave sleep. These disturbances tend to worsen the axis dysfunction, setting up a vicious cycle.
When adrenal fatigue is present it can result in general tiredness and lethargy and in severe cases it can be extremely debilitating, to a point where a person can hardly get out of bed. Most people go un-diagnosed, especially by conventional practitioners who usually don’t look at the adrenals as being a potential trouble-source. People usually just live with symptoms of adrenal fatigue and prop themselves up with extra coffee, sodas or other stimulants. However, left unchecked their condition could continue to worsen.

Time pressures and financial constraints are far from the only factors in this modern epidemic. Other triggers for Adrenal Fatigue include our high-sugar diet, the rise of pesticides and chemical pollutants in our foods, the rise in food intolerances, and our sedentary lifestyles. Combine these factors with hormonal decline (which many of us are experiencing earlier and earlier these days), and you have a recipe for fatigue, sickness and loss of vitality.
Adrenal fatigue shouldn’t be confused with adrenal insufficiency, a legitimate medical condition that can be diagnosed with laboratory tests and has a defined symptomatology. Addison’s disease causes primary adrenal insufficiency and usually has an autoimmune cause, with symptoms appearing when most of the adrenal cortex has been destroyed. Secondary adrenal insufficiency is cause by pituitary disorder that gives insufficient hormonal stimulation to the adrenals. Some liken adrenal fatigue to a milder form of adrenal insufficiency — but there’s no underlying pathology that has been associated with adrenal fatigue.
I’m hoping maybe you can unconfuse me. I recently had an adrenal stress index done as well as a full thyroid panel because I’ve experienced all the symptoms you’ve mentioned above and more (headaches, inability to lose baby weight despite trying, etc). I’ve even taken the questionnaire you linked ( and a few others) and they all come back indicating some amount of adrenal fatigue.
If you have adrenal fatigue, it can also be a major cause of excess fat storage and low energy levels. Luckily, you can heal adrenal fatigue with three simple steps: start an adrenal fatigue diet, take supplements and reduce stress. So, let’s talk about exactly what your adrenal glands do and how you can overcome adrenal fatigue in these three simple steps.
I was put on HC by my integrative hormonal doctor but after getting the results in early October of a very low cortisol level in the morning, then a very high cortisol level at noon, then a bit low in the evening and then slightly high at night. I was told to take adaptogens by those in the know but I listened to my doctor and now I dread the decision. did I really need to take HC? no amount of HC made me feel better and in fact only raised my blood sugar and pressure. he says I have a maladapted HPA axis from chemotherapy I had in 2009. I have a very high DHEAS and testosterone level too. I want to get off HC but finding it quite difficult. my doctor said the low doses I am on now are only shutting down my own production and I might as well just stop but others have told me just stopping would be very dangerous. I am currently down to 7.5mg (sometimes take 10mg) I am full of anxiety, suffering from shakes/jitters everyday. I was given buspar and klonopin by a shrink who thinks I am nuts. I don’t know what to do but get off and retest cortisol to see if things have changed since October. I have been under enormous stress this past year due to the constant excruciating pain I have to endure from severe sciatica/Spondy from a fall on ice last winter. I also lost my smell and taste (anosmia) that a virus caused and the two created a very stressful period in my life where my adrenals took a huge hit. I don’t know how to get passed this and what to do. I feel AWFUL!!!!! Please HELP!!!!
From his introduction: "Part I gives you an overview of adrenal fatigue: what it is; who suffers from it, what causes it, how it progresses and why medicine has not recognized it as a syndrome.....Part II guides you through a questionnaire and some other simple processes to determine if you have adrenal fatigue, and if you do, what may be causing it......Part III provides a very comprehensive guide to recovering from adrenal fatigue. It contains specific info about which therapies work and exactly what you can do to help yourself feel energized and well again.......Part IV explains in relatively plain English what your adrenal glands do and how and why they are so important to just about every process that occurs in your body and mind. It will help you understand why you feel so bad when they are not functioning adequately." Sometimes, you don't even realize you feel bad because feeling bad becomes normal and you don't realize how bad you felt until you start to feel better. I am to that point now, I feel better.
Stress can have devastating effects on health. Even if you do everything else right health-wise, if you don’t manage your stress, none of it will mean much. During my healing journey I practiced mindfulness meditation and other stress-busting strategies to bring mindfulness into my day, like taking time-outs for slow, deep breathing. This is a simple way to defuse stress levels and calm the brain-adrenal axis. I’m also a big fan of listening to Eckhart Tolle audiobooks when I’m in the car.
Think about it like this: if your body is a car, and it’s run down and needs to get checked – you are most likely going to carefully drive it to the closest garage. What you are not going to do is race there as fast as you can, because you want to take it easy on your car and not cause it to fall apart before it even reaches the garage. That’s what your body is doing in this case, it is lowering your cortisol level because it does not want your body to be “running on empty.”
My lingering issue is urinating frequently. Sometimes every hour (no infection gng on either- been gng on for abt 3 yrs. I’ve asked many Dr’s. and they have no idea- along with having hot flashes when my bladder wld get full. This goes on day & night-so to say I am sleeping soundly wld be a major stretch. I recently read an article that said the adrenals cold be the culprit. Can’t wait to get results from the labs this new Dr will draw. I’m soon to be 55 if the matters.Wondering if anybody else has experienced the freq urination/hot flash combination?

Adrenal Fatigue Syndrome is a very real condition, but navigating your way through all the treatment options can be difficult. Individuals with Adrenal Fatigue tend to bounce between family doctors, endocrinologists, psychotherapists and more. They are often prescribed drugs like sleeping pills and antidepressants by well-meaning doctors who simply can't figure out what is wrong with them. But the truth is that treating Adrenal Fatigue involves much more than prescribing drugs. It requires a combination of experience and knowledge of both conventional and alternative medicine.

Can’t believe what I just read! ‘Adrenal insufficiency usually means there are long standing life problems’ and ‘because these side effects are not uncomfortable enough to be intolerable’ Is this a joke?! Adrenal insufficiency is a condition, usually autoimmune where the adrenal glands are destroyed. This is in no way because of any life problems! The symptoms of adrenal insufficiency aka Addison’s disease are so severe they greatly alter life and can be life threatening. A person with Addison’s disease needs medicine or they will die from this condition. They are also at risk of an adrenal crisis, this is life threatening and can be brought on by illness or extreme stress. If your adrenal glands are not working properly trust me you will know about it and an ACTH test will clinically prove low levels of cortisol. Please remind me of the tests for adrenal fatigue? Oh that’s right there aren’t any. Just pick a few symptoms out of the 75 listed, many of which contradict themselves greatly. Make sure to ignore any medical tests which have shown you to be in range and just like that you have adrenal fatigue – a condition which has no medical standing, no scientific evidence and was made up by a chiropractor! Let me do you all a favour – none of you have adrenal fatigue. This is a fact
However, he doesn’t really emphasize animal foods, which I believe are the foundation of a healthy diet (whether it’s eggs, butter, raw milk, grass-fed meat or otherwise). He doesn’t demonize saturated fats, but instead discusses all fats as if they are equal. It’s a step in the right direction, but I think saturated fats are too beneficial to be lumped in with other fats (and here’s four reasons why).
Naturally, there is a good deal of advice on caring for your brain with nutrition and supplements. There are also a few sections on cortisol’s impact on health at both high and low levels of the hormone. As you might expect from someone who is an expert on neurofeedback, there is also a chapter devoted to that therapy, as well as other holistic and technology-based therapies that can help to reorient your brain to improve your natural stress response. Finally, there is a section offering insight into mitochondrial function that can help many patients to understand just how energy conversion actually happens within the body.
To understand how adrenal fatigue develops, it is important to understand the original, evolutionary function of the adrenal glands. The adrenals are walnut-sized glands located on top of each kidney, and are important control centers for many of the body’s hormones. The outer layer of the gland, called the adrenal cortex, produces hormones including cortisol, DHEA, estrogen and testosterone. The centers of the glands produce adrenaline, the hormone named after them.
Any excessive stress can deplete the adrenals, especially when weakened by poor nutrition. Working too much or emotional stress are two common causes. Excessive stimulation, especially for children, is another cause. Fast-paced, high-stress, fear-based lifestyles are a sure prescription for adrenal burnout. Other stressors in cities are noise and electromagnetic pollution. Cell phones, microwave towers and appliances like televisions, microwave ovens and computers give off strong electrical fields.
Adrenal fatigue is not recognized by the Endocrine Society or any other endocrinology society, but adrenal insufficiency is. One glaring problem for the adrenal fatigue concept is that the reported symptoms don’t match those from adrenal insufficiency, although there is some overlap. The adrenal fatigue symptoms are “mostly nonspecific” including being tired or fatigued to the point of having trouble getting out of bed; experiencing poor sleep; feeling anxious, nervous, or rundown; craving salty and sweet snacks; and having “gut problems,” says Nieman. For the most part, these do not match symptoms of chronic adrenal insufficiency, which is characterized by weight loss, joint pain, anorexia, nausea, vomiting, diarrhea, dry skin, low blood pressure, and fatigue.
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